| NPI | 1053793315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A173327) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IL 125067635) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2022-07-11 |